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published quarterly by the Office of Perinatal Quality Improvement September 2011, VOLUME 67
University of Oklahoma Health Sciences Center
The S.T.A.B.L.E. Program Learner Course
Dec. 5, 2011 - OPQI, Oklahoma City
Feb. 23, 2012 - OPQI - Oklahoma City
AWHONN Intermediate Fetal Monitoring Course
Sept. 27 to 28, 2011 - St. John Med. Center, Owasso
Oct. 11 to 12, 2011 - OPQI, Oklahoma City
Nov. 1 to 2, 2011 - Comanche County Mem. Hosp., Lawton
Jan. 31 to Feb. 1 , 2012 - OPQI, Oklahoma City
April 10 to 11, 2012 - OPQI, Oklahoma City
AWHONN Advanced Fetal Monitoring Course
March 7, 2012 - OPQI, Oklahoma City
May 9, 2012 - OPQI, Oklahoma City
NRP Instructor Training
Feb. 7, 2012 - OUHSC, Oklahoma City
June 21, 2012 - OUHSC, Oklahoma City
For a complete list of courses and registration, visit
http://www.oumedicine.com/OPQI
Call (405) 271-7777 for more information.
September is Infant Mortality Awareness Month
What Does That Mean for You?
It seems that each month now has many health-related
topics of which we are to be aware, perhaps to the point that
real awareness gets diluted. September is Infant Mortality
Awareness month, a pertinent topic for perinatal providers
and birthing hospitals. Oklahoma’s latest available infant
mortality rate (IMR) in 2007 was 8.5 infant deaths (deaths
within the fi rst year of life) per 1,000 live births. This ranks
Oklahoma 46th nationally. The U.S. IMR in 2007 was 6.75
infant deaths per 1,000 live births. The state’s IMR of 8.5 for
2007 is no better than the national average of 8.5 achieved
over 15 years earlier. On an average day in Oklahoma, at
least one baby dies before he or she celebrates his or her
fi rst birthday, and on every third day, two babies die. About
460 families suff er an infant death each year in Oklahoma.
The top causes of infant mortality can be seen in the table
below. The leading cause of infant deaths for whites,
American Indian/Alaska Natives, Asian/Pacifi c Islanders,
and Hispanics is “congenital malformations” while the
leading cause of infant death for African Americans is
“disorders due to short gestation and low birth weight.”
EDUCATION OPPORTUNITIES
Bear Necessities: Growing the NICU Grad
Sept. 23 - Tulsa
Contact 918-502-6044
Every Week Counts: Learning Session #3
Oct. 4 - Oklahoma City
visit http://www.oumedicine.com/EWC
2011 OK ACOG Section Meeting
with Simulation for the Clinical Update
Oct. 6 to 7 - Oklahoma City
AAP National Conference and Exhibition
Oct. 15 to 18 - Boston
visit http://www.aap.org/nce
Changing Seasons in Neonatology
Oct. 28 - Oklahoma City
contact mike-mccoy@ouhsc.edu
continued under “Infant Mortality,” page 2
IN THE NEWS
08/03/2011: FDA issues warning on Difl ucan
(fl uconozole), changes to pregnancy category D
08/22/2011: ACOG Releases Practice Bulletin
#123: Thromboembolism in Pregnancy
09/09/2011: The FDA granted orphan drug
status to domperidone for “treatment of hypopro-lactinemia
in breastfeeding mothers”
OPQI STAFF:
Barbara O’Brien, RN, MS: Program Director
Warren M. Crosby, M.D.: Medical Director
Anne Wlodaver, M.D.: Prof. of Pediatrics
Chad Smith, M.D.: Assist. Prof. of OB/GYN
Denise Cole, RNC-NIC, MS: Coordinator
Barbara Koop, RNC-OB, MS: Coordinator
Courtney Hunter: Administrative Assistant
In response to these sobering statistics, the Oklahoma State
Department of Health began work in 2007 on a statewide
initiative to reduce infant mortality, Preparing for a Lifetime,
It’s Everyone’s Responsibility (P4L). This statewide initiative
is a collaborative eff ort and includes many partners.
Oklahoma birthing hospitals and perinatal providers are
important partners in this initiative. OPQI is coordinating
P4L activities that occur within birthing hospitals and
provides a key link to activities with providers.
Because of the statewide initiative, birthing hospitals in
Oklahoma have access to many programs at little or no
cost and with technical assistance and support so hospitals
and providers do not have to develop and implement the
activities independently. Working collectively can ease the
work of individual facilities and providers and also creates
a network with common goals. Current activities are:
m Infant Safe Sleep and SIDS: Infant death from sleep
or possible sleep-related causes (e.g., had documentation
indicating that the sleep environment was a defi nite or
possible contributing factor independent of a known
medical condition) is one of the top preventable causes of
infant death and is an area of focus for P4L. There were over
79 Oklahoma infant death cases due to unsafe sleeping
practices reviewed in 2010 by the Oklahoma Child Death
Review Board. In 1992, the American Academy of Pediatrics
stated that infants should be placed on their backs to sleep.
N ew !
Top three causes of infant death in Oklahoma
1. congenital malformations
2. disorders related to short gestation ( <37 weeks)
and low birth weight (<5 pounds, 8 ounces)
3. Sudden Infant Death Syndrome (SIDS)

published quarterly by the Office of Perinatal Quality Improvement September 2011, VOLUME 67
University of Oklahoma Health Sciences Center
The S.T.A.B.L.E. Program Learner Course
Dec. 5, 2011 - OPQI, Oklahoma City
Feb. 23, 2012 - OPQI - Oklahoma City
AWHONN Intermediate Fetal Monitoring Course
Sept. 27 to 28, 2011 - St. John Med. Center, Owasso
Oct. 11 to 12, 2011 - OPQI, Oklahoma City
Nov. 1 to 2, 2011 - Comanche County Mem. Hosp., Lawton
Jan. 31 to Feb. 1 , 2012 - OPQI, Oklahoma City
April 10 to 11, 2012 - OPQI, Oklahoma City
AWHONN Advanced Fetal Monitoring Course
March 7, 2012 - OPQI, Oklahoma City
May 9, 2012 - OPQI, Oklahoma City
NRP Instructor Training
Feb. 7, 2012 - OUHSC, Oklahoma City
June 21, 2012 - OUHSC, Oklahoma City
For a complete list of courses and registration, visit
http://www.oumedicine.com/OPQI
Call (405) 271-7777 for more information.
September is Infant Mortality Awareness Month
What Does That Mean for You?
It seems that each month now has many health-related
topics of which we are to be aware, perhaps to the point that
real awareness gets diluted. September is Infant Mortality
Awareness month, a pertinent topic for perinatal providers
and birthing hospitals. Oklahoma’s latest available infant
mortality rate (IMR) in 2007 was 8.5 infant deaths (deaths
within the fi rst year of life) per 1,000 live births. This ranks
Oklahoma 46th nationally. The U.S. IMR in 2007 was 6.75
infant deaths per 1,000 live births. The state’s IMR of 8.5 for
2007 is no better than the national average of 8.5 achieved
over 15 years earlier. On an average day in Oklahoma, at
least one baby dies before he or she celebrates his or her
fi rst birthday, and on every third day, two babies die. About
460 families suff er an infant death each year in Oklahoma.
The top causes of infant mortality can be seen in the table
below. The leading cause of infant deaths for whites,
American Indian/Alaska Natives, Asian/Pacifi c Islanders,
and Hispanics is “congenital malformations” while the
leading cause of infant death for African Americans is
“disorders due to short gestation and low birth weight.”
EDUCATION OPPORTUNITIES
Bear Necessities: Growing the NICU Grad
Sept. 23 - Tulsa
Contact 918-502-6044
Every Week Counts: Learning Session #3
Oct. 4 - Oklahoma City
visit http://www.oumedicine.com/EWC
2011 OK ACOG Section Meeting
with Simulation for the Clinical Update
Oct. 6 to 7 - Oklahoma City
AAP National Conference and Exhibition
Oct. 15 to 18 - Boston
visit http://www.aap.org/nce
Changing Seasons in Neonatology
Oct. 28 - Oklahoma City
contact mike-mccoy@ouhsc.edu
continued under “Infant Mortality,” page 2
IN THE NEWS
08/03/2011: FDA issues warning on Difl ucan
(fl uconozole), changes to pregnancy category D
08/22/2011: ACOG Releases Practice Bulletin
#123: Thromboembolism in Pregnancy
09/09/2011: The FDA granted orphan drug
status to domperidone for “treatment of hypopro-lactinemia
in breastfeeding mothers”
OPQI STAFF:
Barbara O’Brien, RN, MS: Program Director
Warren M. Crosby, M.D.: Medical Director
Anne Wlodaver, M.D.: Prof. of Pediatrics
Chad Smith, M.D.: Assist. Prof. of OB/GYN
Denise Cole, RNC-NIC, MS: Coordinator
Barbara Koop, RNC-OB, MS: Coordinator
Courtney Hunter: Administrative Assistant
In response to these sobering statistics, the Oklahoma State
Department of Health began work in 2007 on a statewide
initiative to reduce infant mortality, Preparing for a Lifetime,
It’s Everyone’s Responsibility (P4L). This statewide initiative
is a collaborative eff ort and includes many partners.
Oklahoma birthing hospitals and perinatal providers are
important partners in this initiative. OPQI is coordinating
P4L activities that occur within birthing hospitals and
provides a key link to activities with providers.
Because of the statewide initiative, birthing hospitals in
Oklahoma have access to many programs at little or no
cost and with technical assistance and support so hospitals
and providers do not have to develop and implement the
activities independently. Working collectively can ease the
work of individual facilities and providers and also creates
a network with common goals. Current activities are:
m Infant Safe Sleep and SIDS: Infant death from sleep
or possible sleep-related causes (e.g., had documentation
indicating that the sleep environment was a defi nite or
possible contributing factor independent of a known
medical condition) is one of the top preventable causes of
infant death and is an area of focus for P4L. There were over
79 Oklahoma infant death cases due to unsafe sleeping
practices reviewed in 2010 by the Oklahoma Child Death
Review Board. In 1992, the American Academy of Pediatrics
stated that infants should be placed on their backs to sleep.
N ew !
Top three causes of infant death in Oklahoma
1. congenital malformations
2. disorders related to short gestation ( <37 weeks)
and low birth weight (<5 pounds, 8 ounces)
3. Sudden Infant Death Syndrome (SIDS)